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General NPI Number Information
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NPI Number | 1700738424
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Entity Type | Organization
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Legal Business Name | ANESTHESIA PROFESSIONALS OF LOUISIANA A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 6300 MAIN ST
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City | ZACHARY
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State | LA
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Zip | 70791-4037
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Country | US
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Telephone | 225-658-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 203
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City | KNOXVILLE
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State | TN
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Zip | 37919-4053
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Country | US
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Telephone | 865-985-7114
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Fax | 865-692-5867
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Authorized Official
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Title or Position | DIRECTOR
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Name | STACEY WILSON
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Credential |
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Telephone | 865-985-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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